Amazing Angels Home Health

The agency failed to complete an internal review of its emergency preparedness and response plan at least bi-annual to evaluate its effectiveness and to update the plan as needed for 1 of 1 agency’s Emergency Plan.

The agency failed to conduct an exercise to test the emergency preparedness and response plan at least once a year or after an actual emergency response to decide if the plan worked and to update any needed changes for 3 of 3 years reviewed.

The agency failed to measure analyze, and track indicators to improve health outcomes, patient safety and quality of care of the quality assessment and performance improvement program for 2 of 3 calendar years reviewed.

The agency failed to have at least one performance improvement project in development or on-going for 2 of 3 calendar years reviewed.

The administrator/supervising nurse failed to ensure that the quality assessment and performance improvement program (QAPI) maintained an ongoing review and evaluation of data for patient outcomes The agency did not to maintain an ongoing review and evaluation of outcome based data to determine the…